Emir Baskovski

Canlı yayını 27 Ekim 2025 Pazartesi günü saat 20.00 da kardioloji.online adresinden izleyebilir; sorularınızı, yorumlarınızı yazarak toplantıya katılabilirsiniz. Bekliyoruz…

Our observations regarding colocalization of conduction tissue with scar in pt undergoing Vf ablation. @timucin_alt @akyurek_omer #Epeeps onlinelibrary.wiley.com/doi/10.1111/pa…

A mid-to-end diastolic EGM at distal GCV during LV summit VT in NICM #Epeeps @timucin_alt @akyurek_omer

@KostekMilan @akyurek_omer @timucin_alt

@baskovski @akyurek_omer @timucin_alt A very nice animation. I'd like to see 12-lead ECG. I've never seen any biatrial atrial flutter ECG.

A biatrial flutter in a pt w septal scar w/o hx of abl! Easy to mistake for a cti flutter if only RA is mapped since only tiny portion of the cycle is missing. @akyurek_omer @timucin_alt #Epeeps

#Epeeps Epi only mapping & #Rf in apical aneurism w endocardial thrombus precluding endo approach. #VT terminates shortly after Rf on mid isthmus. @timucin_alt @akyurek_omer

Here’s an interesting image of coronary spasm after cardioversion! authors.elsevier.com/a/1kxkp,siTgod… @timucin_alt @akyurek_omer

@tomdepotter Heres an idea: remove lead after TSP (skin-TSP time: 5-6 mins).

Hey #EPeeps help me out. If you had an X-ray where 2 minutes of fluoro equals operator exposure (outside lead) of 100-200 nanoSv (aka banana dose - daily outside dose is magnitude higher at 2-10 μSv) and you use minimal fluoro would you wear lead for PVI Context see next post

Of note, LPs reappeared couple of minutes later and epi ablation was required. @elifoykucelik @ozkanatfirat @seeenaaay

Check out the prolongation and dissappearance of epi LPs(pentaray 13-14&15-16) during endo Rf. #EPeeps @timucin_alt @akyurek_omer

@syamkumarmd @pjsm83 @akyurek_omer @timucin_alt @ozkanatfirat @seeenaaay @elifoykucelik @MiguelVldrbno No, tbh i try to avoid wire mapping when possible (poor signal qual, can’t determine max dv/dt etc). Etoh was infused anatomically between 1-2 and 3-4 MapIt pairs. I do not remove the wire as it would be hard to repositionthe monorail balloon.

@baskovski @pjsm83 @akyurek_omer @timucin_alt @ozkanatfirat @seeenaaay @elifoykucelik @MiguelVldrbno Nice demonstration. Have you done a wire mapping before injecting EtOH? While using monorail balloons, do you need to remove the wire?

#EPeeps LV summit VT(+ICDshock) in a pt w bioprosthetic AVR&MVR. Endo breakthrough@QRS onset. Only precocity @ annularV (30ms). Extensive anatomical abl (endo+PA) fails, while ETOH inf. makes VT non-inducible. @akyurek_omer @timucin_alt @ozkanatfirat @seeenaaay @elifoykucelik

@finnakerstrom @akyurek_omer @timucin_alt @ozkanatfirat @seeenaaay @elifoykucelik I’m glad it’s not only me!

@baskovski @akyurek_omer @timucin_alt @ozkanatfirat @seeenaaay @elifoykucelik Nice! Do you think there PA is an effective vintage point? Anatomically there's fat in between the PA and LV epi. I've not got great experience with this approach unfortunately.

@akyurek_omer @timucin_alt @ozkanatfirat @seeenaaay @elifoykucelik 95% pacematch from distal annular vein.

@TimothyMaherMD1 @BIDMC_VT @sarah_chomos Great maps. What was the final lesion set (aka was there any other VT with a different isthmus, not predicted by endocardial ILAM)?

Case after case - Wavefront Direction is Key: Pacing perpendicular to WADLs is best for identifying fixed lines of block that perfectly match the VT isthmus lateral boundaries. @BIDMC_VT with star fellow Gabriel Odozynski, maps with @sarah_chomos #ablateVT

#Epeeps Classical presentation of midmyocardial septal scar and VT. Patchy biV LVA, low uniV and an unstable VT that has 94% pacematch at the RV septum. Sequential burn renders VT non-inducible. @timucin_alt @akyurek_omer

@lochieh19798 … and an excellent mapping team @elifoykucelik @ozkanatfirat

This is the beauty of 3D EAM era.

@drsametyilmazz @akyurek_omer @timucin_alt Just to stay safe, CTI was also ablated…

@baskovski @akyurek_omer @timucin_alt Nice case 👍 can you share your ablation spots?

@finnakerstrom @akyurek_omer @timucin_alt PPI- TCL was 0 from both CSp and CSd with no act change compared to the AT. At CTI ppi-tcl was 10msec. Rf at endocardial RA breakthrough terminated the AT but i would imagine that CTI would have also terminated it.

@baskovski @akyurek_omer @timucin_alt Nice! How did you confirm the circuit?